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West Virginia rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.77 / $1,400.00 / $2,001.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.25 / $1,312.77 / $1,574.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.49 / $1,549.67 / $1,688.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.89 / $1,500.79 / $1,500.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $1,455.76 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.33 / $1,750.92 / $3,609.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.45 / $1,367.98 / $2,070.75